Individual
KRISTI M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
313 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-2300
(304) 744-8195
Mailing address
313 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25303-1263
(304) 744-2300
(304) 744-8195
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0211
WV
231H00000X
Audiologist
A.01642
OH
Other
Enumeration date
11/20/2013
Last updated
08/07/2014
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